使用精細(xì)化管理模式進(jìn)行醫(yī)院病案管理的效果分析

1、    使用精細(xì)化管理模式進(jìn)行醫(yī)院病案管理的效果分析    鄭金玉宋慧芝于紅偉摘要 目的 探究醫(yī)院病案管理現(xiàn)狀以及存在的問(wèn)題，應(yīng)用精細(xì)化管理模式改善病案管理效果。方法 以2016年1月2017年8月內(nèi)該院病案管理科收集的800例病案作為對(duì)照組，實(shí)施常規(guī)病案管理，以2017年10月2019年4月內(nèi)病案管理科收集的800例病案為改進(jìn)組，應(yīng)用精細(xì)化管理模式，前后管理科成員一致。將病案管理質(zhì)量評(píng)分以及因病案引發(fā)的醫(yī)患糾紛，還有患者滿意度、人員專業(yè)能力為指標(biāo)，確定精細(xì)化管理模式的應(yīng)用成效。結(jié)果 改進(jìn)組的病案質(zhì)量合格率顯著優(yōu)于對(duì)照組，兩組之間的病案資料缺失率差異有統(tǒng)

2、計(jì)學(xué)意義（p<0.05）。精細(xì)化管理模式應(yīng)用后，改進(jìn)組病案管理人員的專業(yè)技能考核評(píng)分以及患者滿意度顯著優(yōu)化，組間數(shù)據(jù)差異有統(tǒng)計(jì)學(xué)意義（p<0.05）。改進(jìn)組關(guān)于病案管理的醫(yī)患糾紛發(fā)生率顯著低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（p關(guān)鍵詞 精細(xì)化管理模式;醫(yī)院病案管理;管理質(zhì)量 r19 a 1672-5654（2020）02（c）-0008-03abstract objective to explore the current situation and existing problems of hospital medical record management， and to apply

3、refined management mode to improve the medical record management effect. methods 800 cases collected from the medical records management department of our hospital from january 2016 to august 2017 were used as a control group to implement routine medical records management. 800 cases collected from

4、the medical records management department from october 2017 to april 2019 of the medical record as an improvement group， and a refined management model was applied， with the members of the management department being the same. use the quality management scores of medical records and medical-patient

5、disputes caused by medical records， as well as patient satisfaction and staff professional capabilities as indicators to determine the effectiveness of the refined management model. results the qualified rate of medical records in the improved group was significantly better than that in the control group， and the missing rate of m